Texas & New Mexico 2011 State Hospice Organization Report 2009 Medicare Data 1/19/11

1. In Partnership with: Texas & New Mexico 2011 State Hospice Organization Report2009 Medicare Data1/19/11 The ONLY Hospice report including Hospital, SNF & Home Health Info!

2. Texas & New Mexico Hospice Organization2011 State Hospice Organization Report (2009 Medicare Data) • This is a State Hospice Organization Report completed for the Texas & New Mexico Hospice Organization. • This report is created from the most current 100% publically available data files from CMS, U.S. Census, CDC, and others. It is organized by county-specific information followed service area (i.e., all requested counties), state, and national aggregated information. • Medicare Data Year= 2009. • Questions or comments, please contact: Hospice Analytics, Inc. Cordt T. Kassner, PhD, Principal 2355 Rossmere Street Colorado Springs, CO 80919 P: 719-209-1237 E: CKassner@HospiceAnalytics.com W: www.HospiceAnalytics.com

3. Texas & New Mexico Hospice Organization 2011 State Hospice Organization Report (2009 Medicare Data) Suggestions on applying information in this report: • Understand current trends regarding access to and utilization of hospice services in your area – and how that compares to state and national trends. • How can access to and utilization of hospice services be strengthened in your area and across your state? • Using this information, is it possible to identify target populations as a starting place (e.g., target specific diagnoses with low hospice utilization, or outreach to hospital or skilled nursing facility providers caring for dying patients, etc.)? • Identify areas of high hospice access and utilization in your state (or perhaps a nearby state) – what can be learned from them? How might partnerships be formed and best practices shared? How can your state hospice organization help? • How might this information be used in statewide advocacy, regulatory, and education efforts? • What other questions do you have? How can information in the Medicare claims data, cost reports, etc., help provide an evidence-base for decision-making? How can your state hospice organization help?

4. 1. State Information 2. Who Was Missed? 3. County Information 4. National Information 5. Hospitals, SNFs, and HHAs Report Sections:

5. 2009 Demographics & Hospice Utilization

7. Texas County-Level Hospice Utilization Top 50 Counties (slide 1 of 5) Hospice Utilization= Medicare Hospice Deaths / Medicare Total Deaths

8. Texas County-Level Hospice Utilization Counties 51-100 (slide 2 of 5) Hospice Utilization= Medicare Hospice Deaths / Medicare Total Deaths

9. Texas County-Level Hospice Utilization Counties 101-150 (slide 3 of 5) Hospice Utilization= Medicare Hospice Deaths / Medicare Total Deaths

10. Texas County-Level Hospice Utilization Counties 151-200 (slide 4 of 5) Hospice Utilization= Medicare Hospice Deaths / Medicare Total Deaths

11. Texas County-Level Hospice Utilization Counties 201-254 (slide 5 of 5) Hospice Utilization= Medicare Hospice Deaths / Medicare Total Deaths Perhaps billing errors

12. New Mexico County-Level Hospice Utilization All 33 Counties Hospice Utilization= Medicare Hospice Deaths / Medicare Total Deaths Perhaps billing errors

13. 2009 Hospice Utilization(Medicare Hospice Deaths / Total Medicare Deaths)

15. 2009 Total Hospice PatientsNational= 1,079,676 TX #3: 79,557 NM #37: 7,875

17. 2009 Total Days of Hospice CareNational= 76,724,901 Days TX #2: 6,391,782 NM #34: 677,755

19. 2009 Mean Days / Patient of Hospice Care NM #6: 87 TX #11: 80 National: 71

21. 2009 Median Days / Patient of Hospice Care NM #8: 36 TX #15: 27 National: 24

23. 2009 Total Medicare Hospice PaymentsNational= $12,064,905,206 TX #3 $954,727,454 NM #35 $100,104,518

25. 2009 Mean Medicare Hospice Payments / Patient NM #9: $12,859 TX #11: $12,001

27. 2009 Medicare Hospice Percent Cancer Diagnosis National= 32% Cancer; TX= 27% (#45); NM= 26% (#47)

29. 2009 Patients Cancer / Non-Cancer

30. 2009 Top 6 ICD-9 Diagnostic Categories (out of 19)

31. 2009 Patient Status at Discharge

32. 2009 Patients in Age Categories

33. 2009 Patients by Sex

34. 2009 Patients by Race

35. 2009 Patients by Level of Care (days)

36. 2009 Location of Care (new in 2007)

37. 2009 Visits by Discipline (new in 2008)

38. Additional Information • Please refer to the Excel spreadsheet enclosed with this report for additional information. • Also, additional detailed county-level information is available through Market Reports for your hospice provider members.

39. 1. State Information 2. Who Was Missed? 3. County Information 4. National Information 5. Hospitals, SNFs, and HHAs Report Sections:

40. Who was missed?That is, who died without hospice care? • This section highlights what information is available for Medicare beneficiaries who died outside of hospice care.

41. 2009 Counties & Hospice Patients

42. 2009 Medicare Beneficiaries Who Died Without Hospice: Age Categories

43. 2009 Medicare Beneficiaries Who Died Without Hospice: Sex

44. 2009 Medicare Beneficiaries Who Died Without Hospice: Race

45. 1. State Information 2. Who Was Missed? 3. County Information 4. National Information 5. Hospitals, SNFs, and HHAs Report Sections:

47. 2009 Demographics & Hospice Utilization

48. 1. State Information 2. Who Was Missed? 3. County Information 4. National Information 5. Hospitals, SNFs, and HHAs Report Sections:

49. 2009 Summary of Health Care Providers forMedicare Beneficiaries at the End of Life

50. Note: Information reflects Medicare beneficiaries only; categories are not mutually exclusive.